Revelle Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVELLE PHYSICAL THERAPY, LLC

Practice address

7400 E Orchard Rd Ste 208S
Greenwood Village, CO 80111-2575

Phone

(303) 323-9998

Fax

(833) 770-4966

NPI assigned

Sep 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelley Warner, PT, DPT

Title

Owner

Phone

(703) 969-8226

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Meehan, PT, DPT, MTC

  • Physical Therapist
  • Suwanee, GA
  • NPI 1588059380
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1568183101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD # 280S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112528",
            "telephone_number": "303-323-9998",
            "fax_number": "833-770-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD STE 208S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112575",
            "telephone_number": "303-323-9998",
            "fax_number": "833-770-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELLE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-10",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-969-8226",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568611986",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588059380",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356659627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexis Reuschel
• Tatum Reuss, PA-C
• Shounta Rochalle Revels, RN
• Revived Hope Counseling
• Alana Marie Revoal, D.O.
• Rocio Rey-Nunez
• Alyssa Reyes

• Physical Therapy Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.